scholarly journals The Importance of Preserving the Primary Teeth before the Permanent Teeth Eruption

2018 ◽  
pp. 55-55
Author(s):  
Mohammad Karimi

One of the important factors of referring children to dentistry is dental caries in the primary teeth. It is commonplace to see moments of anxiety for both the child and their parents when a tooth decays happen. It should be noted that the thickness of enamel in children is little, which is one of the factors that affect dental caries to develop more easily. In order to prevent the dental decay of primary teeth, there are several ways in which a dentist can present in order to guide the child and their parents into the right preventive path.

2019 ◽  
Vol 3 (3) ◽  
pp. 570-575
Author(s):  
Mamta Dali ◽  
Bandana Koirala ◽  
Sneha Shrestha

Introduction: Oral health knowledge and awareness among parents is an integral component of preventing dental caries among children. Objective: The purpose of this paper is to assess the parent's knowledge, awareness and perception regarding the care of primary teeth attending the Dental OPD, BPKIHS, Dharan, Nepal. Methodology: A questionnaire based survey was conducted among 200 parents in randomly selected manner. Results: The data was analyzed using SPSS software version 12.0. Only 54% of the parents were aware of the importance of primary teeth in children and 82% understood that untreated caries in primary dentition can have effects on general health of children. Approx 82% parents were aware of pediatric dentist and majority felt that they are the right person to contact when dental problems occur in children. Surprisingly only 57% of parents were aware of the preventive role of fluorinated tooth in dental caries. A majority of parents assume that filling is the appropriate treatment option for caries in children rather than extraction and 40.5% felt that premature primary teeth extraction will results in malalignment of permanent teeth. A very negative response was obtained regarding routine dental visit to pediatric dentist. Majority (61%) visited only when dental problems occurred whereas 12-16% answered they visit in every 6 months or once in a year. Conclusions: We concluded that knowledge, awareness and perception of parents regarding importance of primary teeth were inadequate. There is an immediate need to cultivate and reinforce positive attitudes among parents and substantially raise their dental awareness through child dental health oriented programs.


2001 ◽  
Vol 38 (5) ◽  
pp. 525-528 ◽  
Author(s):  
J. R. Chapple ◽  
J. H. Nunn

Objective: The purpose of this study was to assess the prevalence of dental caries, developmental defects of enamel, and related factors in children with clefts. Design: This cross-sectional prevalence study used standard dental indices for assessment. Setting: Children underwent a dental examination under standard conditions of seating and lighting in the outpatient department of a dental hospital as part of an ongoing audit to monitor clinical outcomes. Participants: Ninety-one children aged 4, 8, and 12 years were included in the study. Outcome Measurements Dental caries were assessed by use of the decayed, missing, and filled index for primary teeth (dmft); Decayed, Missing, and Filled index for permanent teeth (DMFT) according to the criteria as used in the national survey of children's dental health in the United Kingdom (O'Brien, 1994). Developmental defects were assessed using the modified Developmental Defects of Enamel Index (Clarkson and O'Mullane, 1989). Dental erosion was assessed using the criteria derived for the national survey of children's dental health (O'Brien, 1994). Results: Caries prevalence increased with age; 63% of patients at 4 years and 34% at 12 years were caries free. The mean dmft for the 4-year-olds was 1.3 with a mean DMFT for the 12-year-olds of 1.8. All the 4-year-olds had evidence of erosion of enamel in the primary teeth (incisors and first molars) and 56% of the 12-year-olds had erosion of permanent teeth (incisors and first permanent molars). Developmental defects of enamel became more prevalent with age, with at least one opacity in 56% of 4-year-olds and 100% of 12-year-olds. Hypoplasia was not found in the primary dentition but affected permanent teeth in 38% of 8-year-olds and 23% of the 12-year-olds. Conclusion: This study has shown that dental disease is prevalent in these patients. These assessments not only provide a baseline on oral health parameters in young people with clefts but underline the need for a more aggressive approach to prevention of oral disease to optimize clinical outcome.


2005 ◽  
Vol 84 (3) ◽  
pp. 260-264 ◽  
Author(s):  
J.M. Broadbent ◽  
W.M. Thomson ◽  
S.M. Williams

The notion that caries in primary teeth causes developmental defects of enamel in permanent teeth has been recently revived. The research objective was to test this hypothesis through analysis of data from the Dunedin Multidisciplinary Health and Development Study, a longstanding prospective cohort study. The maxillary incisors of 663 children were assessed for existing restorations and dental caries at age five and for developmental defects of enamel at age nine. Where a primary tooth had been carious, the permanent successor was more likely to have a demarcated opacity after adjustment for gender, family socio-economic status, years of exposure to water fluoridation, trauma to primary teeth, and early loss of primary teeth (unadjusted OR = 2.3, 95% CI 1.3, 4.1; adjusted OR = 2.2, 95% CI 1.1, 4.3). These findings support a time-ordered association between dental caries in primary maxillary incisors and demarcated opacities in their permanent successors.


2020 ◽  
Vol 37 (3) ◽  
pp. 294-301
Author(s):  
Varshini Marimuthu ◽  
Pushparaja Shetty

Teeth are biological markers of maturity, and their eruption into the oral cavity is an essential milestone in an individual's life. Multiple factors have been considered to play a role in the pattern of tooth eruption, including dental caries, fluorides and congenital conditions such as Down's syndrome. The aim of the paper was to determine the time of eruption of permanent teeth amongst children aged between five and ten years, visiting the Dental College in Mangalore. A survey was conducted among children aged between 5 to 10 years visiting A.B. Shetty Memorial Institute of Dental Sciences Deralakatte, Mangalore. Each child included in the study was screened by clinical examination for the erupted and erupting permanent teeth. A parent/guardian accompanying a child was interviewed and their data were recorded. The study revealed that the first tooth to erupt was the left mandibular first molar, with a mean age of eruption at 6.4 years. A slight early eruption of teeth was noticed in the left side of the jaw compared to the right side in the present study. The first permanent tooth to erupt in the oral cavity is the left mandibular first molar and there is a slight delay in the eruption of the maxillary lateral incisor in the study population.


2017 ◽  
Author(s):  
Simon Haworth ◽  
Dmitry Shungin ◽  
Justin T van der Tas ◽  
Strahinja Vucic ◽  
Carolina Medina Gomez ◽  
...  

AbstractPrior studies suggest dental caries traits in children and adolescents are partially heritable, but there has been no large-scale consortium genome-wide association study (GWAS) to date. We therefore performed GWAS for caries in participants aged 2.5-18.0 years from 9 contributing centers. Phenotype definitions were created for the presence or absence of treated or untreated caries, stratified by primary and permanent dentition. All studies tested for association between caries and genotype dosage (imputed to Haplotype Reference Consortium or 1000 Genomes phase 1 version 3 panels) accounting for population stratification. Fixed–effects meta-analysis was performed weighted by inverse standard error. Analysis included up to 19,003 individuals (7,530 affected) for primary teeth and 13,353 individuals (5,875 affected) for permanent teeth. Evidence for association with caries status was observed at rs1594318-C for primary teeth (intronic within ALLC, Odds Ratio (OR) 0.85, Effect Allele Frequency (EAF) 0.60, p 4.13e-8) and rs7738851-A (intronic within NEDD9, OR 1.28, EAF 0.85, p 1.63e-8) for permanent teeth. Consortium-wide estimated heritability of caries was low (h2 of 1% [95% CI: 0%:7%] and 6% [95% CI 0%:13%] for primary and permanent dentitions, respectively) compared to corresponding within-study estimates (h2 of 28%, [95% CI: 9%:48%] and 17% [95% CI:2%:31%]) or previously published estimates. This study was designed to identify common genetic variants with modest effects which are consistent across different populations. We found few single variants associated with caries status under these assumptions. Phenotypic heterogeneity between cohorts and limited statistical power will have contributed; these findings could also reflect complexity not captured by our study design, such as genetic effects which are conditional on environmental exposure.Author summaryDental caries (tooth decay) is a common disease in children. Previous studies suggest genetic factors alter caries risk, but to date there is a gap of knowledge in identifying which specific genetic variants are responsible. We undertook analysis in a consortium including around 19,000 children and investigated whether any of 8 million common genetic variants were associated with risk of caries in primary (milk) or permanent teeth. If identified, these variants are used as ‘tags’ to highlight genes which may be involved in a disease. We identified variants in two loci associated with caries status; in the primary (rs1594318) and permanent dentition (rs7738851). The former is intronic in ALLC, a gene with poorly understood function. The latter is an intronic variant within NEDD9, a gene which has several known functions including a role in development of craniofacial structures. To gain a more comprehensive understanding of genetic effects which influence caries larger studies and a better understanding of environmental modifiers or interactions with genetic effects are required.


2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Mohsen Kazeminia ◽  
Alireza Abdi ◽  
Shamarina Shohaimi ◽  
Rostam Jalali ◽  
Aliakbar Vaisi-Raygani ◽  
...  

Abstract Background Early childhood caries (ECC) is a type of dental caries in the teeth of infants and children that is represented as one of the most prevalent dental problems in this period. Various studies have reported different types of prevalence of dental caries in primary and permanent teeth in children worldwide. However, there has been no comprehensive study to summarize the results of these studies in general, so this study aimed to determine the prevalence of dental caries in primary and permanent teeth in children in different continents of the world during a systematic review and meta-analysis. Methods In this review study, articles were extracted by searching in the national and international databases of SID, MagIran, IranMedex, IranDoc, Cochrane, Embase, ScienceDirect, Scopus, PubMed, and Web of Science (ISI) between 1995 and December 2019. Random effects model was used for analysis and heterogeneity of studies was evaluated by using the I2 index. Data were analyzed by using the Comprehensive Meta-Analysis (Version 2) software. Findings In this study, a total of 164 articles (81 articles on the prevalence of dental caries in primary teeth and 83 articles on the prevalence of dental caries in permanent teeth) were entered the meta-analysis. The prevalence of dental caries in primary teeth in children in the world with a sample size of 80,405 was 46.2% (95% CI: 41.6–50.8%), and the prevalence of dental caries in permanent teeth in children in the world with a sample size of 1,454,871 was 53.8% (95% CI: 50–57.5%). Regarding the heterogeneity on the basis of meta-regression analysis, there was a significant difference in the prevalence of dental caries in primary and permanent teeth in children in different continents of the world. With increasing the sample size and the year of study, dental caries in primary teeth increased and in permanent teeth decreased. Conclusion The results of this study showed that the prevalence of primary and permanent dental caries in children in the world was found to be high. Therefore, appropriate strategies should be implemented to improve the aforementioned situation and to troubleshoot and monitor at all levels by providing feedback to hospitals.


e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Rebecca A. Ngantung ◽  
Damajanty H. C. Pangemanan ◽  
Paulina N. Gunawan

Abstract: Dental caries is a major problem in children’s mouth cavity. The damage of the primary teeth spreads faster, expands more, and worse than permanent teeth. Socioeconomics status is one of the factors that affect health status. In order to meets the need of life and to get the desired health service, the higher socioeconomic groups have more chance than the lower socioeconomic groups. This study aimed to find out the influence of parental socioeconomic to children’s caries in Hang Tuah Bitung Kindergarten. This was an analytical study using a cross sectional design. The population consisted of students of Hang Tuah Bitung Kindergarten with a total of 72 children. Samples were 52 students obtauned by using total sampling method. The primary data collection used def-t examination and parental identity checked from. The statistical analysis was perfomed by using Spearman’s test. The results showed that there was no effect of parents’ employment of parents to children dental caries (p=0.092); there was no effect of parents’ education to children dental caries (p=0.425); no effect of parents’ income to children dental caries (p=0.164); there was no effect of the number of family members to children dental caries (p=0.119). Conclusion: There was no effect of socioeconomic status of the parents to children dental caries.Keywords: socioeconomic level, occupation, education, income, cariesAbstrak: Karies merupakan masalah utama di rongga mulut anak. Kerusakan gigi sulung lebih cepat menyebar, meluas, dan lebih parah dari pada gigi permanen. Status sosial ekonomi merupakan salah satu faktor yang memengaruhi status kesehatan, sebab dalam memenuhi kebutuhan hidup dan untuk mendapatkan tempat pelayanan kesehatan yang diinginkan lebih memungkinkan bagi kelompok sosial ekonomi tinggi dibandingkan dengan kelompok sosial ekonomi rendah. Tujuan penelitian ini yaitu untuk mengetahui pengaruh tingkat sosial ekonomi orang tua terhadapkaries anak di TK Hang Tuah Bitung.Penelitian ini merupakan penelitian yang bersifat analitik dengan menggunakan metode cross sectional. Populasi penelitian ini ialah murid TK Hang Tuah Bitung yang berjumlah 72 orang. Sampel yang diteliti 52 anak dengan menggunakan total sampling. Metode pengambilan data secara primer yaitu dengan pemeriksaan def-t dan formulir pemeriksaan identitas orang tua. Analisis statistik dilakukan dengan menggunakan uji Spearman. Hasil penelitian diperoleh, tidak ada pengaruh tingkat pekerjaan orang tua terhadap karies gigi anak (p=0,092), tidak ada pengaruh tingkat pendidikan orang tua terhadap karies gigi anak (p=0,425), tidak ada pengaruh tingkat pendapatan orang tua terhadap karies gigi anak (p=0,164), tidak ada pengaruh banyaknya anggota keluarga orang tua terhadap karies gigi anak (p=0,119).Simpulan: Tidak terdapat pengaruh tingkat sosial ekonomi orang tua terhadap karies gigi anak. Kata kunci : tingkat sosial ekonomi, pekerjaan, pendidikan, pendapatan, karies.


2020 ◽  
Vol 10 (1) ◽  
pp. 5 ◽  
Author(s):  
Ariana M. Kelly ◽  
Anna Kallistova ◽  
Erika C. Küchler ◽  
Helena F. Romanos ◽  
Andrea Lips ◽  
...  

Objectives: The hierarchical structure of enamel gives insight on the properties of enamel and can influence its strength and ultimately caries experience. Currently, past caries experience is quantified using the decayed, missing, filled teeth/decayed, missing, filled surface (DMFT/DMFS for permanent teeth; dmft/dmfs for primary teeth), or international caries detection and assessment system (ICDAS) scores. By analyzing the structure of enamel, a new measurement can be utilized clinically to predict susceptibility to future caries experience based on a patient’s individual’s biomarkers. The purpose of this study was to test the hypothesis that number of prisms by square millimeter in enamel and average gap distance between prisms and interprismatic areas, influence caries experience through genetic variation of the genes involved in enamel formation. Materials and Methods: Scanning electron microscopy (SEM) images of enamel from primary teeth were used to measure (i) number of prisms by square millimeter and interprismatic spaces, (ii) prism density, and (iii) gap distances between prisms in the enamel samples. The measurements were tested to explore a genetic association with variants of selected genes and correlations with caries experience based on the individual’s DMFT+ dmft score and enamel microhardness at baseline, after an artificial lesion was created and after the artificial lesion was treated with fluoride. Results: Associations were found between variants of genes including ameloblastin, amelogenin, enamelin, tuftelin, tuftelin interactive protein 11, beta defensin 1, matrix metallopeptidase 20 and enamel structure variables measured (number of prisms by square millimeter in enamel and average gap distance between prisms and interprismatic areas). Significant correlations were found between caries experience and microhardness and enamel structure. Negative correlations were found between number of prisms by square millimeter and high caries experience (r value= −0.71), gap distance between prisms and the enamel microhardness after an artificial lesion was created (r value= −0.70), and gap distance between prisms and the enamel microhardness after an artificial lesion was created and then treated with fluoride (r value= −0.81). There was a positive correlation between number of prisms by square millimeter and prism density of the enamel (r value = 0.82). Conclusions: Our data support that genetic variation may impact enamel formation, and therefore influence susceptibility to dental caries and future caries experience. Clinical Relevance: The evaluation of enamel structure that may impact caries experience allows for hypothesizing that the identification of individuals at higher risk for dental caries and implementation of personalized preventative treatments may one day become a reality.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nguyen Van Chuyen ◽  
Vu Van Du ◽  
Nguyen Van Ba ◽  
Dao Duc Long ◽  
Ho Anh Son

Abstract Background To determine the prevalence of dental caries in primary and permanent teeth and identify factors associated with dental caries among secondary school children in rural highland Vietnam. Methods This was a cross-sectional study that included 1985 secondary schoolchildren. Dental examination was performed at school using World Health Organization criteria. Data collection on demographic characteristics and knowledge, attitude, and practices related to dental caries was conducted by interviewing children. Descriptive and inferential statistics using a multivariate logistic regression model were applied. Results Prevalence of caries in primary and permanent teeth was 41.1 and 68.9 %, respectively. Prevalence of caries in primary teeth in the age group 11–12 years old (59.4 %) was significantly higher than in children in the age group of 13–14 years (27.8 %; p < 0.01). Factors associated with dental caries in primary teeth were age group of 11–12 years, belonging to the Jarai ethnic group, and having inadequate knowledge or attitude related to dental caries. Factors associated with dental caries in permanent teeth were having insufficient knowledge, attitude, and practices related to dental caries. Conclusions The prevalence of dental caries in primary and permanent teeth was high among secondary school children in Vietnam’s rural highlands. It is recommended that interventions focus on younger secondary school children and the Jarai minority ethnic group, and that interventions should emphasize improving knowledge, attitudes, and practices related to dental caries.


1989 ◽  
Vol 3 (2) ◽  
pp. 143-146 ◽  
Author(s):  
H.S. Horowitz

The concentration of fluoride in drinking water is the major determinant of the prevalence and severity of dental fluorosis in a community. Fluorosis is more prevalent and discernible in permanent teeth than in primary teeth; the intensity can range from barely perceptible, whitish striations in enamel to confluent pitting and dark staining. The traditional belief is that fluorosis is produced only during the secretory stages of ameloblastic activity. Some recent reports suggest that the maturation stages of enamel development are as important as or even more important than the secretory stages as the time when fluorosis can be produced. The question of timing remains unresolved. Many questions also remain about general and individual physiologic variations in relation to susceptibility to dental fluorosis. Good criteria for differential diagnosis exist to distinguish dental fluorosis from non-fluoride enamel opacities. An increasing number of reports indicates that the prevalence of fluorosis may be increasing among children in fluoridated and non-fluoridated communities. Reasons for the increases may relate to misuse of dietary fluoride supplements, ingestion of fluoride toothpastes, or increasing amounts of fluoride in foods or the atmosphere. The intensity of the increased fluorosis is in the milder categories and is not generally unsightly. It should be recognized that a small amount of fluorosis may be an alternative to a greater prevalence of dental caries, a disease that may produce cosmetic problems and sequelae worse than those produced by fluorosis.


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